Beyond Challenges Community Services LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

091095 Issued in NC

Legal business name

BEYOND CHALLENGES COMMUNITY SERVICES LLC

Practice address

1302 Dabney Dr
Henderson, NC 27536-3531

Phone

(252) 572-2167

NPI assigned

Sep 12, 2014

Last updated

Sep 12, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ervin Davis III

Title

Ceo

Phone

(919) 605-9981

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ervin Davis, III, ASSOCIATE DEGREE

  • Community Health Worker
  • Henderson, NC
  • NPI 1508153040
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1730580432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 STALLINGS RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033808",
            "telephone_number": "252-572-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 DABNEY DR",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275363531",
            "telephone_number": "252-572-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND CHALLENGES COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ERVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-605-9981",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NC",
            "license": "091095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mazda Berenjian, D.D.S.
• Best Care IV Services (Optioncare)
• Best Care of Henderson LLC (Best Care Pharmacy)
• Danelle H Betancourt, MS. CCC-SLP
• Brianna Jayne Betker, M.S. ED.,BCBA
• Krishna Reddy Bhaghayath, M.D.
• Jessica Colleen Garcia Bitencourt, D.O.
• Sheila Anita Bizune, PHARM.D.
• Benjamin Ellis Blackwell, LCSWA
• Crystal Wynette Blash

• Preferred Provider Organization in Henderson, NC
• Providers in Henderson, NC by specialty
• Preferred Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.